BCBSGA General Forms

Overview:

By Mike Rose

Right now all we have are Georgia claim forms available at this location. We will be adding more BCBSGA forms in the future.

Member Links:

Dental Claim Form for Anthem BCBSGA: Submit this document for Blue Cross Blue Shield of Georgia dental claims.

BCBSGA Medical Claim Form: If you have medical claims not submitted by your Blue Cross Blue Shield of Georgia in-network doctor you can use these forms. You can use this form for Tonik vision reimbursement as well.

Blue Cross Blue Shield Georgia Smartsense Full Rx 1500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
Information below is for current SmartSense POS members. For more information about SmartSense Georgia, receive an instant quote, or to apply, please visit our PPO page New Blue Cross Blue Shield SmartSense PPO Georgia or our POS page New Blue Cross Blue Shield SmartSense POS Georgia.

CURRENT MEMBERS:
The Blue Cross Blue Shield of Georgia Smartsense Full Rx 1500 POS plan offers peace of mind to insured members by providing coverage for standard hospital visits as well as emergency care. This plan contains a yearly deductible of $1,500, and an out-of-pocket maximum of $4,500. Coverage is provided for Preventative Care; this includes services such as physical exams, health screenings, and routine gynecological visits. This plan also offers comprehensive prescription drug coverage.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 1500 POS GA Summary of Benefits: Here you will find detailed information on this plan.

Blue Cross Blue Shield Georgia SmartSense Full Rx 3500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
This page is designed for current members of SmartSense. To learn more about SmartSense Georgia, to apply, or get a quote, please visit our PPO page New Blue Cross SmartSense PPO Georgia or our POS page New Blue Cross SmartSense POS Georgia.

CURRENT MEMBERS:
Blue Cross Blue Shield of Georgia, a trusted name in health coverage, offers the Smartsense Plans as an affordable way for individuals to obtain health insurance.  One such plan is the BCBSGA Smartsense Full Rx 3500 POS plan. The annual deductible is $3,500, with an out-of-pocket limit of $6,500.  Members are offered a $30 co-payment per calendar year for the first three doctor visits (not subject to the deductible). After three visits, once the deductible is met, members are responsible for 30% of the negotiated rate. This plan provides comprehensive prescription drug coverage, which allows for both brand name and generic drugs.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 3500 POS GA Summary of Benefits: For the most current summary of benefits of this plan.

Blue Cross Blue Shield Georgia Smartsense Full Rx 750 PPO

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
This page is dedicated to our current SmartSense PPO members. To get an instant quote, learn more about SmartSense Georgia PPO, or to apply, please visit our New SmartSense PPO Georgia Page.

CURRENT MEMBERS:
The Smartsense Full Rx 750 PPO plan by BCBS of GA has an annual deductible of $750, with an out-of-pocket limit of $3,750. For Physician Office Services, insured individuals are offered the first 3 visits per calendar year at a low co-payment of $30. This coverage also includes comprehensive prescription drug benefits—-providing for brand name drugs as well as generic ones.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder
BCBS Georgia SmartSense Plus PPO Brochure

Blue Cross Blue Shield Georgia Smartsense Full Rx 7500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
The information below is for our current SmartSense members. To learn more about SmartSense Georgia, to apply, or get a quote, please visit either our New Blue Cross SmartSense PPO Georgia Page or our New Blue Cross SmartSense POS Georgia Page.

CURRENT MEMBERS:
The annual deductible for the BCBS of GA Smartsense Full Rx 7500 POS plan is $7,500, with an out-of-pocket limit of $10,500. Coverage is provided for the first three doctor visits (per plan member) each calendar year before the deductible is met. This plan has a comprehensive prescription drug package, which includes both brand name and generic drugs.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 7500 POS GA Summary of Benefits:Updated summary of benefits

Blue Cross Blue Shield Georgia Smartsense Generic Rx 1500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
The information below is for our current members of SmartSense. To apply, or get a quote, or to learn more about SmartSense Georgia please visit our New SmartSense PPO Georgia Overview or our New SmartSense POS Georgia Overview.

CURRENT MEMBERS:
The Smartsense Generic Rx 1500 POS plan by Blue Cross Blue Shield of Georgia consists of a $1,500 annual deductible and an out-of-pocket limit of $4,500.  For Physician Office Services, members pay a $30 co-payment for the first 3 visits per calendar year. After 3 visits, once the deductible is met, members are responsible for 30% of the negotiated rate. This plan offers generic-only prescription drug coverage.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 1500 POS GA Summary of Benefits: Click here for updated summary of benefits.

Blue Cross Blue Shield Georgia Smartsense Generic Rx 3500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
Below information is designated for current SmartSense members. To learn more about BCBS SmartSense Georgia, to receive an instant quote, or to apply, please visit our New SmartSense PPO Georgia Page or New SmartSense POS Georgia Page.

CURRENT MEMBERS:
The BCBS of GA Smartsense Generic Rx 3500 POS plan contains an annual deductible of $3,500, with an out-of-pocket limit of $6,500.  Members pay a $30 co-payment per calendar year for the first three doctor visits (not subject to the deductible). After three visits, once the deductible is met, members are responsible for 30% of the negotiated rate. This plan provides generic-only prescription coverage, with no separate deductible.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 3500 POS GA Summary of Benefits: For the most current summary of benefits.

Blue Cross Blue Shield Georgia Smartsense Generic Rx 750 PPO

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
The information below is for our current SmartSense Members. To get an instant quote, learn more about SmartSense Georgia PPO, or to apply, please visit our New BCBS SmartSense PPO Georgia Overview.

CURRENT MEMBERS:
The annual deductible for the BCBS of GA Smartsense Generic Rx 750 PPO plan is $750, with an out-of-pocket limit of $3,750. This plan provides coverage for the first three doctor visits (per plan member) each calendar year before the deductible is met, as well as generic-only prescription drug coverage.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 750 PPO GA Summary of Benefits: For the updated summary of benefits.
BCBS Georgia SmartSense Plus PPO Brochure

Blue Cross Blue Shield Georgia Smartsense Generic Rx 7500 POS

Overview:

By MediCoverage Staff

FUTURE MEMBERS:
The below information is for current SmartSense POS members. To learn more about SmartSense Georgia, apply, or to receive an instant quote, please visit our New Blue Cross SmartSense PPO Georgia Page or our New Blue Cross SmartSense POS Georgia Page.

CURRENT MEMBERS:
The Smartsense Generic Rx 7500 POS plan by BCBS of GA consists of a $7,500 annual deductible and an out-of-pocket limit of $10,500.  For Physician Office Services, this plan provides coverage for the first 3 visits per calendar year at a $30 co-payment by the insured individual(s). After 3 visits, once the deductible is met, members are responsible for 30% of the negotiated rate. This plan offers generic-only prescription drug coverage.

Member Links:

General Forms for Current Blue Cross Blue Shield Members

Georgia Blue Cross Blue Shield Doctor Finder

SmartSense 7500 POS GA Summary of Benefits: Here you will find detailed information on this plan.

Blue Cross Blue Shield Georgia Tonik 1500

Overview:

By Mark Solis

FUTURE MEMBERS:
This page is designed for current members of Tonik 1500. To learn more about Tonik Georgia, to apply, or get a quote, please visit our Tonik Georgia Overview.

CURRENT MEMBERS:
The Anthem Blue Cross Blue Shield of Georgia Tonik Plans are the most popular plans for individuals ages 19-39, but they are available to anyone under 65. They provide coverage for medical, dental and visual services.  The Tonik 1500 plan, also known as the “Calculated Risktaker”, appeals to those who want the lowest deductible if medical services are required. The annual deductible is $1,500; there is no additional coinsurance, and members are offered unlimited office visits for a low $40 copay.

Link to Tonik Application: Anthem Blue Cross GA Tonik 1500 Application

Member Links:

Anthem General Forms: Click here for all Anthem general forms such as dental claims and medical claims..

Georgia Tonik Member Contact Sheet: You can refer to this list for important phone numbers and mailing addresses associated with your new Anthem Blue Cross Tonik plan.

Tonik 1500 GA Summary of Benefits: Updated summary of benefits.

Tonik GA Dental: This document explains the dental plan that automatically comes with each Tonik Insurance plan.

BCBSGA Tonik 1500 Summary of Benefits PDF

Blue Cross Blue Shield Georgia Tonik 3000

Overview:

By Mark Solis

FUTURE MEMBERS:
The information below is for current Tonik members. To learn more about Tonik Georgia, to receive an instant quote, or to apply, please visit our New Tonik Georgia Page.

CURRENT MEMBERS:
Of the three Tonik plans available in Georgia, the Tonik 3000 (Part-Time Daredevil) plan has always been viewed as the most popular. Tonik 3000, offered by Blue Cross Blue Shield of GA, contains the following features: a $3,000 deductible, coverage for dental and vision services, and generic prescription drugs benefits. This plan also offers the first 4 offices visits at a low $30 copay.

Link to Tonik Application: Anthem Blue Cross GA Tonik 3000 Application

Member Links:

Anthem Georgia General Forms: Use this link to access auto-bill payment requests, doctor finder, claims forms etc.

Tonik 3000 GA Summary of Benefits: Updated summary of benefits for this Georgia plan.

Georgia Tonik Member Contact Sheet: A list of Georgia Tonik health insurance contact phone numbers and addresses for member services, pharmacy, vision, dental and more

Tonik GA Dental: All Tonik plans come with a basic dental plan at no additional charge. This form will show you what is covered

BCBSGA Tonik 3000 Summary of Benefits PDF

Blue Cross Blue Shield Georgia Tonik 5000

Overview:

By Mark Solis

FUTURE MEMBERS:
This page below is for current members of Tonik. For more information about Tonik Georgia, to apply, or get a quote, please visit our New Tonik Georgia Overview Page.

CURRENT MEMBERS:
The Tonik 5000 plan in Georgia is the least expensive Tonik plan available. It also has the lowest doctor visit copay at $20 for the first 4 visits. BCBSGA Tonik is often know as the “Thrill Seeker” and is popular with people seeking an affordable price on health insurance. Some of the highlights of this plan include:

• Medical, Dental and Vision coverage for one low copay
• $5000 deductible,
• $20 for the first 4 office visits
• $100 emergency room benefit
• no additional co-insurance after satisfying the deductible

Please our Tonik section to learn more about how the Tonik 5000 deductible works or see the links below.

Member Links:

BCBS of Georgia General Forms: Use this link get important forms such as dental claim form or medical claim form

Tonik 5000 GA Summary of Benefits: Most current summary of benefits of this plan

Georgia Tonik Member Contact Sheet: Looking for Tonik specific help. Check out our Georgia Tonik health insurance contact phone numbers and addresses for member services, pharmacy, vision, dental and more.

Tonik BCBSGA Dental: Here are the details of what is included in a Blue Cross Blue Shield of Georgia Tonik Dental. Remember there is no additional charge for basic dental with Tonik.

BCBSGA Tonik 5000 Summary of Benefits PDF